# HEALTHY LIVING PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417626581
- **Authorized official:** THANH NGUYEN (CEO)
- **Authorized official phone:** (720) 741-6647

## Contact information

- **Practice address:** 1138 N GERMANTOWN PKWY STE 101-491, CORDOVA, TN 38016-5872
- **Practice address phone:** (720) 741-6647
- **Mailing address:** 1138 N GERMANTOWN PKWY STE 101-491, CORDOVA, TN 38016-5872

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/10/2021
- **Last updated:** 10/15/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | NPI | 1689235525 | CA |